Astrelis
Urban PPS hospital · Oakland, CA

ALTA BATES SUMMIT MEDICAL CENTER

CCN 050043ALAMEDA CountyVoluntary non-profit - PrivateUrban (USDA RUCC)215 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis

Operating margin: +7.9% in FY2025, the 65th percentile of 2,523 urban pps hospitals in the FY2025 pool. Days cash on hand: 68 days in FY2025, the 67th percentile of 2,413 urban pps hospitals in the FY2025 pool. Total operating revenue: $626.5M in FY2025, the 76th percentile of 2,553 urban pps hospitals in the FY2025 pool. Total margin (including nonoperating): +10.7% in FY2025, the 64th percentile of 2,523 urban pps hospitals in the FY2025 pool. Figures as filed; not audited by Astrelis.

Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY21, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Oakland, CA. It ran an operating surplus of 7.9% in FY25 on $626.5M of operating revenue. It held 68 days of cash on hand (67th percentile of 2,413 Urban PPS hospitals on liquidity, FY25 pool). Operating margin improved from -8.1% in FY20 to 7.9% in FY25. These figures come from filings spanning FY21–FY25: read each by its own year rather than as one current picture.

Operating margin · FY25
+7.9%
Astrelis calculation · as-filed inputs
▲ 4.4 pts vs FY24
vs Urban PPS hospitals65th pctl of 2,523 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
68d
all sources
Astrelis calculation · as-filed inputs
▲ 11 days vs FY24
vs Urban PPS hospitals67th pctl of 2,413 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$626.5M
Astrelis calculation · as-filed inputs
▲ $25.6M vs FY24
vs Urban PPS hospitals76th pctl of 2,553 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+10.7%
Astrelis calculation · as-filed inputs
▲ 5.9 pts vs FY24
vs Urban PPS hospitals64th pctl of 2,523 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at ALTA BATES SUMMIT MEDICAL CENTER is about $6.3M per year (1% of FY25 total operating revenue).

Where ALTA BATES SUMMIT sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 2,523 of 2,652 filed

Each point is one Urban PPS hospital in the national FY25 distribution for Urban PPS hospitals, this hospital's comparison cohort, placed by operating margin. Facilities are not matched on size, case mix, or market; that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital FY25 median is +2.4%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +2.4%ALTA BATES +7.9%
One urban pps hospitalALTA BATESUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.

Operating margin
+7.9% (FY25)
Operating income ÷ total operating revenue
Astrelis calculation · HCRIS WS G-3
Total margin
+10.7% (FY25)
Net income ÷ total revenue incl. nonoperating
Astrelis calculation · HCRIS WS G-3
Days cash on hand
68d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
Astrelis calculation · HCRIS WS G / G-3
Current ratio
2.90× (FY21)
Total current assets ÷ current liabilities
Astrelis calculation · HCRIS WS G
Equity financing ratio
66% (FY21)
Total net assets ÷ total assets
Astrelis calculation · HCRIS WS G
Days in net patient A/R
101d (FY21)
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue550,628598,888622,649
Other operating revenue1,9082,0463,899
Total operating revenue552,536600,934626,548
Total operating expenses522,396579,908576,939
Operating income30,14021,02649,609
Operating margin %+5.5%+3.5%+7.9%
Grants & contributions4,7844,68811,139
Investment income57973,395
Other non-operating, net12,5893,2464,640
Net income47,57029,05768,783
Net income %+8.3%+4.8%+10.7%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
Display states. FY23 · Net patient A/R: 161,097K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -8326.5K (gross HOSP10_2023_nmrc.csv G000000 L00400; allowances L00500 169423.5K + L00600 491337.2K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)

How it operates

quality & operational context · CMS public reporting

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.

Scale and flow
Occupancy
67.0%
Reported value2025
HCRIS WS S-3
Average daily census
144.02
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
215
Reported value2025
HCRIS WS S-3
Annual discharges
12,304
Reported value2025
HCRIS WS S-3
Average length of stay
4 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$10,976
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$46,890
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Total FTEs
1,732
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.9%
Reported value2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$29.7M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.247
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
13.4%
Better Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.01
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.880501
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 6 reporting years
Operating margin
-8.1%-8.9%+6.0%+5.5%+3.5%+7.9%FY20FY21FY22FY23FY24FY25
Days cash on hand
172 days208 days3 days42 days56 days68 daysFY20FY21FY22FY23FY24FY25

The county this hospital serves

ALAMEDA County, CA
Median household income
$126.2K
vs $82.1K US · $59.7K rural median
Poverty rate
9.2%
vs 12.5% US · 14.3% rural median
Uninsured
4.1%
vs 8.6% US · 8.4% rural median
Age 65+
14.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.2% of county personal income is Medicare/Medicaid medical benefits; 12.0% arrives as government transfers (BEA, 2022).

Illustrative advocacy scenario: what this hospital means to Alameda County

Illustrative estimate · FY24 cost report
Direct annual spending
$579.9M
total operating expense · Reported value, not a local-capture estimate
Labor income
$294.8M
$247.7M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$1.33B
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.2%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation

7.9% operating margin — 65th percentile of 2,523 peers (FY25 pool).

The Board Briefing

Operating margin improved 4.4 points vs FY24 — the briefing traces why, line by line.

Reserve The Board Briefing →
Performance Benchmark Report

5.5 points above the cohort median — at current revenue, approximately $34.5M more operating income than the median rate.

(7.9% facility vs 2.4% peer median) = 5.5 points above the median × $626.5M revenue ≈ $34.5M more operating income than the median rate · method
Reserve Performance Benchmark Report →
How we calculated this

Operating margin vs its peer pool: FY25 pool · n = 2,523.

Performance Benchmark Report: FY25 peer pool · n = 2,523 · conservative low band; acuity limits stated in the report.

Report coverage: Limited Facility Benchmark. 14 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.

Portfolio Performance Review

A roster-priced triage of the per-facility benchmarks: every facility on your roster, benchmarked and sorted. Requires only a CCN roster.

From $7,500Founding Edition · built to order, first edition · priced by roster size · invoice after coverage confirmation · within 30 days
Request: scoped and quoted before any invoice. No payment is collected on this site.

Cite this page

release 2321a4fc37a7 · 2026-10-22

Astrelis Atlas, "Alta Bates Summit Medical Center", https://astrelis.co/hospitals/050043, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.

Machine-readable twin of this page: astrelis.co/hospitals/050043.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.

build 2321a4fc37a7 · 2026-10-22 · dev